Obstructive sleep apnea (OSA) impacts couples' quality of life yet few studies examine partner involvement in continuous positive airway pressure treatment. Effects of relationship quality and social control on adherence and psychological adjustment were tested in 49 OSA patients over the first 3 months of treatment and in daily interactions the first 10 days. Twenty patients completed follow-up and objective adherence reports. Relationship quality and social control did not predict adherence or depression at follow-up. Daily mood and self-report adherence were available for 31 patients. In hierarchical linear models, social control predicted poorer daily affect and indirect social control predicted decreased objective adherence in patients with lower OSA severity and lower marital conflict. Daily support and collaboration predicted increased self-report adherence. Lower objective and self-report adherence predicted higher next day collaboration in patients with lower relationship conflict. This study highlights the importance of spouse involvement and marital quality in adherence.Measures Sleep Measures All patients underwent an overnight polysomnogram ( PSG) and CPAP titration at the ... Adherence Measures Adherence was measured using a Smartcard (Respironics ... The Smart card stored data including the number of minutes per night CPAP machine is turned on and the mask is in place.
|Title||:||Effects of Relationship Quality and Social Control on Adherence to CPAP in Patients with Obstructive Sleep Apnea|
|Publisher||:||ProQuest - 2007|